促进印度综合慢性病管理模式参与者自我管理糖尿病和抑郁症的患者激活的因素。
Factors that facilitate patient activation in the self-management of diabetes and depression among participants enrolled in an integrated chronic care model in India.
机构信息
Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA; Emory School of Medicine, Emory University, 201 Dowman Drive, GA, 30322, USA.
Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA, 30322, USA.
出版信息
Soc Sci Med. 2021 Feb;270:113646. doi: 10.1016/j.socscimed.2020.113646. Epub 2020 Dec 24.
Abstract
BACKGROUND
The aim of this study was to identify factors that influence patients' motivation and ability to self-manage their diabetes and depressive symptoms.
METHODS
From 2016 to 17, in-depth interviews were conducted with 62 patients receiving the INDEPENDENT care model across two clinics in India. Using a realist evaluation approach, a hypothesized program theory for patient activation was tested and refined.
FINDINGS
The refined theory demonstrates that motivation, education, and engagement cumulatively contribute to patient activation.
CONCLUSION
The results indicate that positive and sustained patient-provider relationships drive patient motivation and enhance implementation of the care model.
摘要
背景
本研究旨在确定影响患者自我管理糖尿病和抑郁症状的动机和能力的因素。
方法
2016 年至 2017 年，在印度的两个诊所中，对接受 INDEPENDENT 护理模式的 62 名患者进行了深入访谈。使用现实主义评估方法，对患者激活的假设方案理论进行了测试和完善。
结果
完善后的理论表明，动机、教育和参与共同促进了患者的激活。
结论
结果表明，积极和持续的医患关系推动了患者的积极性，并增强了护理模式的实施。
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